UNC PHYSICIANS NETWORK GROUP PRACTICES, LLC (NPI# 1275872905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275872905 |
| Entity Type | Organization |
| Organization Name | UNC PHYSICIANS NETWORK GROUP PRACTICES, LLC |
| Other Organization Name | BOYLAN HEALTHCARE |
| Practice Address |
8300 Health Park Dr. Suite #320 Raleigh NC 27615-4731 |
| Mailing Address |
2000 Perimeter Park Dr Ste 200 Morrisville NC 27560-8442 |
| Practice Telephone | 9197819650 |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2019-08-14 |
| Authorized Official Name | LYNNE CHRISTINE FISCUS (CMO) |
| Authorized Official Telephone | 9842154111 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| N | 146M00000X | Emergency Medical Technician, Intermediate | Emergency Medical Service Providers | ||
| Y | 207R00000X | Internal Medicine | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1275872905 | 05 |
| Other Name | Type Code |
|---|---|
| Boylan Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881244168 | Unc Physicians Network Group Practices, LLC | Podiatrist | 1505 Sw Cary Pkwy Ste 200, Cary, NC 27511-6219 | 2019-09-18 |
| 1669022950 | Unc Physicians Network Group Practices, LLC | Podiatrist | 501 Health Park Dr Ste 180, Garner, NC 27529-7051 | 2019-09-18 |
| 1861042152 | Unc Physicians Network Group Practices, LLC | Podiatrist | 6602 Knightdale Blvd Ste 203, Knightdale, NC 27545-6567 | 2019-09-18 |
| 1780234070 | Unc Physicians Network Group Practices, LLC | Podiatrist | 501 Health Park Dr Ste 180, Garner, NC 27529-7051 | 2019-09-18 |
| 1053973354 | Unc Physicians Network Group Practices, LLC | Podiatrist | 8305 Falls of Neuse Rd Ste 100, Raleigh, NC 27615-3546 | 2019-07-08 |
| 1992192694 | Unc Physicians Network Group Practices, LLC | Family Medicine | 801 Poole Dr, Garner, NC 27529-5207 | 2015-04-20 |
| 1598160822 | Unc Physicians Network Group Practices, LLC | Pediatrics | 403 Fairview St, Clinton, NC 28328-2311 | 2014-10-29 |
| 1780019661 | Unc Physicians Network Group Practices, LLC | Internal Medicine | 2417 Atrium Dr, Suite 250, Raleigh, NC 27607-6673 | 2013-09-10 |
| 1023357761 | Unc Physicians Network Group Practices, LLC | Internal Medicine | 8300 Health Park, Suite #309, Raleigh, NC 27615-4730 | 2013-01-31 |
| 1013256759 | Unc Physicians Network Group Practices, LLC | Clinical Medical Laboratory | 3948 Browning Pl, Suite #103, Raleigh, NC 27609-6510 | 2013-01-31 |
| Street Address |
8300 HEALTH PARK DR. SUITE #320 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27615-4731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278535 | Emily Grace Johnson | Behavior Technician | 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 | 2020-09-06 |
| 1730706110 | Maja V Martin, Dds, Pa1 | Clinic/Center | 7371 Six Forks Road, Raleigh, NC 27615 | 2020-07-01 |
| 1972146967 | Atlantic Avenue Pharmaceutical, Inc | Pharmacy | 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 | 2019-10-22 |
| 1023503950 | Siyara Shannay Dobbs | Social Worker | 7013 Woodbend Dr Apt H, Raleigh, NC 27615 | 2018-06-23 |
| 1194210153 | Brittanie Ja'nell Harris | Dentist | 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 | 2018-06-22 |
| 1710489448 | Sherise Swensen | Social Worker | 8368 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2018-03-08 |
| 1881100345 | Casey Paul Baine | Counselor | 6330 Falls of Neuse Rd Ste 104, Raleigh, NC 27615 | 2017-12-20 |
| 1588177885 | Michael Lacidonia | Acupuncturist | 6400 Falls of Neuse Rd Ste 200, Raleigh, NC 27615 | 2017-11-08 |
| 1457877631 | Matt Henderson | Behavioral Analyst | 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2017-08-18 |
| 1760907646 | Shakeda Muldrow | Social Worker | 7323 Brookbank Lane, Raleigh, NC 27615 | 2017-08-11 |
| Find all providers in zip 27615 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921874 | Wake Specialty Phisicians, LLC | Internal Medicine | 601 Oberlin Rd, Raleigh, NC 27605-1126 | 2020-08-06 |
| 1255825840 | Frederick Joseph Derosier | Internal Medicine | 1065 Tacketts Pond Dr, Raleigh, NC 27614-7887 | 2018-06-18 |
| 1023518412 | Neijia Grissom | Internal Medicine | 3214 Charles B Root Wynd Ste 213, Raleigh, NC 27612-5440 | 2018-02-13 |
| 1326406703 | Andrew Ubert Schindzielorz | Internal Medicine | 5300 Huntingwood Dr, Raleigh, NC 27606-9642 | 2016-02-01 |
| 1841680220 | Oswald H Ganley | Internal Medicine | 1251 Goode St, The Healing Place of Wake County, Raleigh, NC 27603 | 2015-01-23 |
| 1659775831 | Caremore Health Nc, PC | Internal Medicine | 1100 N Raleigh Blvd, Raleigh, NC 27610-1076 | 2014-10-16 |
| 1295147577 | Courtney Barrett | Internal Medicine | 6729 Falls of Neuse Rd Ste 100, Raleigh, NC 27615-5383 | 2014-05-21 |
| 1821357815 | Vanitha Gopal | Internal Medicine | 370 Allister Dr Unit 406, Raleigh, NC 27609-7269 | 2012-05-10 |
| 1093072498 | The Carter Clinic,pa | Internal Medicine | 183 Wind Chime Ct Ste 100, Raleigh, NC 27615-6574 | 2012-04-23 |
| 1497025076 | George Stueard Nettles Sr. | Internal Medicine | 11192 Bayberry Hills Dr, Raleigh, NC 27617-7908 | 2012-01-12 |
| Find all providers in RALEIGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.